营养风险筛查表-2002结合实验室营养指标检测对食管癌术前患者营养状况分析

Nutrition status analysis of preoperative patients with esophageal carcinoma by Nutritional Risk Screening-2002 combined with laboratory nutrition index

目的:运用营养风险筛查表-2002对食管癌术前患者进行营养风险筛查,并结合实验室营养指标检测综合分析患者营养状况及相关影响因素,为临床营养支持提供依据。方法:对62例食管癌术前患者采用营养风险筛查表-2002进行术前营养风险调查,并结合人体营养指标血清视黄醇结合蛋白(RBP)、前白蛋白(PAB)、白蛋白、血红蛋白、红细胞计数进行检测分析。结果:38例(61.29%)患者术前具有营养不良风险,年龄≥60岁者营养不良风险发生率为79.49%;有吞咽困难者营养不良风险发生率为68.63%;logistic回归分析年龄、体质量指数和有无吞咽困难均为术前营养风险相关危险因素(P<0.01)。有营养风险患者RBP、PAB、白蛋白、血红蛋白均明显低于无营养风险患者(P<0.01);有营养风险患者红细胞计数与无营养风险患者比较差异无统计学意义(P>0.05)。结论:食管癌术前患者存在较高的营养不良风险,医务人员应重点关注有吞咽困难、年龄≥60岁、体质下降、RBP和PAB早期改变者,为患者采取及时有效的营养支持。

Objective：To screen the preoperative nutritional risk patients with esophageal carcinoma using Nutritional Risk Screening （NRS） table-2002,comprehensively analyze the nutrition status of the patients and its relative influence factors by NRS table-2002 combined with laboratory detection of nutritional indexes so as to provide evidence for effective nutrition support in clinic. Methods ： The preoperative nutritional risks of 62 patients with esophageal carcinoma were investigated using NRS table-2002. The RBP, ALB, Hb and RBC were detected and analyzed. Results：The malnutritional risk in 38 patients （61.29%） were found, the incidence of malnutritional risk in the patients more than 60 years old and patients with dysphagia were 79.49% and 68.63%, respectively. Logistic regression analysis showed that the age, body mass index, dysphagia or not were the related factors of preoperative nutritional risk（P 〈 0.01 ）. The RBP,PAB ,ALB and Hb in the nutritional risk patients were lower than those in the non-nutritional risk patients （P 〈 0.01 ）. The difference of erythrocytes between the nutritional risk and non-nutritional risk patients was not statistically significant （ P 〉 0.05 ）. Conclusions：The malnutrition risk in the preoperative patients with esophageal carcinoma is high. Medical staff should pay much attention to the dysphasia,equal to or more than 60 years old, physical deterioration and early change of RBP and PAB patients. The timely and effective nutritional support should be provided for the patients.